2024-2025 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 71
TITLE:
PEDIATRIC PATHOLOGY
The student will be assigned to a specific clinical service bench weekly, with cases to preview to be discussed with the pathologist attending. The student will choose an interesting case from their service coverage and do a short oral presentation by the end of the elective rotation. The student will have reading assignments throughout the elective that may require a critical review of the pertinent literature. Prepared assignments will be periodically discussed with the rotation director. An intake and exit test will be implemented.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)

4-week elective.  Sign up through MedOneStop.
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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4-week course elective
DIRECTOR:
Oscar Lopez-Nunez
Oscar.LopezNunez@cchmc.org
(513) 636-2875
R, Floor 2 Rm 2303
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
513-636-0339
Kasota Building, 7th Floor at CCHMC, BN7.722
SITE(S):
CCHMC - Cincinnati Children's Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 0
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 0
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 0
13 04/07/2025 - 05/02/2025 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
9:00 a.m. - 5:00 p.m.
REPORT 1ST DAY:
R2384

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Ambulatory
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • Lecture
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Reflection
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
80% Attending Physician
10% Senior Resident
10% Pathology assistant (PA)
FEEDBACK:
ASSESSMENT:
  1. Intake and exit interview
  2. Exit survey 
  3. Pre and post-rotation knowledge test
  4. Verbal feedback from faculty preceptors and staff
  5. End of rotation evaluation


ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Exam, Institutionally Developed, Written/Computer-based
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  1. An extensive library of specialized textbooks in pathology and pediatric pathology plus several dozen current and bound journals are maintained on premises (too numerous to list).
  2. Reading assignments (pertinent articles and hand-outs)
  3. Virtual slide teaching sets. 
Instructional Methods:

  • Clinical experience (bench service assignments)
  • Interdisciplinary conferences and tumor board sessions.
  • Autopsy QA conference 
  • Surgical Pathology QA consensus conference. 
  • Didactics - Formal lectures/talks
  • Didactics - Pediatric surgical pathology unknown slide conference 
  • Reading assignments and discussions
  • Frormal oral presentation of an interesting/challenging case (end of rotation)
Knowledge/Skills:
  1. Recognize key histologic patterns of major organ systems.
  2. Recognize key histopathologic patterns in pediatric surgical pathology.
  3. Explain the usual workflow of pathology specimens from collection to diagnosis.
  4. Understand the pathologist's role in patient care and the advancement of medical knowledge.
Main Course Topics :
Pediatric, pathology, surgical, histology, histopathology
Procedures:
  1. Fetal, pediatric, and/or adult autopsy.
  2. Brain cutting.
  3. Processing of tissue specimens (Macroscopic/gross examination). 
  4. Evaluating tissue using immunohistochemistry, electron microscopy, in situ hybridization, and PCR techniques.
Remediation Plan:
 Elective Director's Discretion.

SAMPLE WEEK

Monday:
8:00AM 9:00AM Pediatric pathology didactics
9:00AM 9:30AM Morning huddle (Gross room)
2:00PM 3:00PM Pathology QA consensus conference
Tuesday:
9:00AM 9:30AM Morning huddle (Gross room)
12:00PM 1:00PM Real Time Tumor Board (B1.419)
Wednesday:
8:00AM 9:00AM Pediatric pathology didactics
9:00AM 9:30AM Morning huddle (Gross room)
1:00PM 2:00PM Leukemia/Lymphoma Tumor Board
3:00PM 4:00PM Neuro-oncology Tumor Board (B1.419)
4:00PM 5:00PM Musculoskeletal Tumor Board- B1.419
Thursday:
9:00AM 9:30AM Morning huddle (Gross room)
12:00PM 1:00PM Autopsy QA conference
2:00PM 3:00PM Pathology QA consensus conference
4:30PM 5:30PM Kidney conference / GI-liver conference (alternating every other Thursday)
Friday:
9:00AM 9:30AM Morning huddle (Gross room)
2:00PM 3:00PM IBD conference (2nd and 4th Friday of the month)
SCHEDULE NOTE:

 Clinical and bench service work is scheduled in between conferences. 

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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